Web-based chronic disease dietary self-management program for African Americans

针对非裔美国人的基于网络的慢性病饮食自我管理计划

基本信息

批准号：
8545894
负责人：
David Farrell
金额：
$ 9.79万
依托单位：
PEOPLE DESIGNS, INC.
依托单位国家：
美国
项目类别：
财政年份：
2012
资助国家：
美国
起止时间：
2012-09-14 至 2014-12-31
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/8545894
关键词：
Address Adult Affect African American American Appalachian Region Area Arthritis Caucasians Caucasoid Race Cessation of life Characteristics Chronic Chronic Disease Clinic Communities Complication Consumption Counseling Data Development Diabetes Mellitus Diet Diet Habits Dietary Fats Dietary Intervention Disease Disease Management Eating Electronic Mail Electronics Exercise Fatty acid glycerol esters Food Food Selections General Population Health Health Personnel Health Services Accessibility Heart Diseases Hypertension Individual Internet Intervention Knowledge Libraries Life Life Expectancy Life Style Low income Maintenance Malignant Neoplasms Medical Medical Technology Newsletter Non-Insulin-Dependent Diabetes Mellitus Nutritional Obesity Online Systems Outcome Participant Patients Phase Physicians Play Population Prevention Preventive Primary Health Care Provider Recipe Recommendation Reporting Research Infrastructure Risk Risk Factors Rural Self Management Series Stroke Technology Testing Time Translating Translations Weight maintenance regimen Woman Work base cooking cost disorder control ethnic minority population food preparation fruits and vegetables health care delivery health disparity high risk innovation literate modifiable risk nutrition prevent programs provider intervention racial and ethnic satisfaction skills tool usability web site

项目摘要

DESCRIPTION (provided by applicant): This application addresses the development and translation of a medical technology to reduce health disparities within the priority area of chroni disease through the development and testing of an innovative web-based technology, Cookin' Up Health, for the self-management of diet related to hypertension and diabetes in African Americans. Delivered via primary care providers, the intervention addresses and responds to key barriers to adequate healthcare delivery-knowledge, culture, and infrastructure. There is a critical need for the development of effective, culturally appropriate, chronic disease focused dietary interventions that can be easily and quickly delivered by health care providers and readily used by African American patients. African Americans have disproportionately higher rates of diabetes and hypertension than the general population and are more likely to suffer the late-term debilitating consequences of these conditions. African Americans are particularly at risk for diet-related chronic diseases and complication because of obesity and unhealthy eating habits. A major barrier to making dietary changes is the high fat and salty foods found in traditional "southern cooking," which many African Americans in the South have eaten for most of their lives. Dietary habits are an important modifiable risk factor for hypertension and diabetes. Hypertension and diabetes are manageable diseases that require a both active medical management and self-management to control the disease. African Americans often have limited access to healthcare information needed for self-management. Nutritional and other lifestyle advice provided by clinicians has been declining over the last decade despite national recommendations for physicians to counsel all patients with diet-related chronic disease.Limited time spent with patients is the major barrier to nutrition counseling particularly given the many preventive recommendations and high volume of patients seen in most primary care practices. The proposed intervention consists of two integrated components-an interactive website and a series of individually tailored electronic newsletters. The website uses a cooking show theme to educate and demonstrate healthier versions of traditional recipes and provides food selection and preparation information in an easy-to-use, interactive, and culturally targeted format. A more limited version of Cookin' Up Health has already been shown to be effective in reducing dietary fat and increasing fruit and vegetable consumption among rural, low-literate, low-income women living in Appalachia. The proposed program will build on the work and outcomes of this earlier program, adapting it for a new population and expanding its reach. For Aim 1, we will translate the Cookin' Up Health intervention to address the cultural and dietary characteristics and disease management needs of low- income African American patients with diabetes or hypertension. For Aim 2, we will conduct a study to assess patient and provider usability and satisfaction with the translated intervention. If feasible with the priority populatin and providers, Phase II offers opportunity for expansion in scope and technology.

描述（由申请人提供）：本申请致力于医疗技术的开发和转化，通过开发和测试基于网络的创新技术 Cookin' Up Health 来减少慢性病优先领域内的健康差异。 -非洲裔美国人与高血压和糖尿病相关的饮食管理。该干预措施通过初级保健提供者提供，解决并应对充分医疗保健提供知识、文化和基础设施方面的主要障碍。迫切需要开发有效的、文化上适当的、以慢性病为重点的饮食干预措施，这些干预措施可以由医疗保健提供者轻松快速地提供，并易于非洲裔美国患者使用。非裔美国人患糖尿病和高血压的比例比一般人群高得多，并且更有可能遭受这些疾病的后期衰弱后果。由于肥胖和不健康的饮食习惯，非裔美国人尤其面临与饮食相关的慢性疾病和并发症的风险。改变饮食习惯的一个主要障碍是传统“南方烹饪”中的高脂肪和高盐食物，南方许多非裔美国人一生中的大部分时间都在吃这些食物。饮食习惯是高血压和糖尿病的重要可改变危险因素。高血压和糖尿病是可控制的疾病，需要积极的医疗管理和自我管理来控制疾病。非裔美国人获得自我管理所需的医疗保健信息的机会往往有限。尽管国家建议医生为所有患有饮食相关慢性疾病的患者提供咨询，但临床医生提供的营养和其他生活方式建议在过去十年中一直在下降。与患者相处的时间有限是营养咨询的主要障碍，特别是考虑到许多预防性建议和大多数初级保健实践中都有大量患者。拟议的干预措施由两个集成部分组成——一个交互式网站和一系列单独定制的电子通讯。该网站使用烹饪节目主题来教育和展示传统食谱的更健康版本，并以易于使用、互动和针对文化的格式提供食物选择和准备信息。 Cookin' Up Health 的更有限版本已被证明可以有效减少生活在阿巴拉契亚的农村、低文化水平、低收入妇女的膳食脂肪并增加水果和蔬菜的消费。拟议的计划将以早期计划的工作和成果为基础，针对新人群进行调整并扩大其覆盖范围。对于目标 1，我们将把 Cookin' Up Health 干预措施转化为解决低收入非裔美国糖尿病或高血压患者的文化和饮食特征以及疾病管理需求。对于目标 2，我们将进行一项研究来评估患者和提供者对翻译干预措施的可用性和满意度。如果优先人口和供应商可行，第二阶段将提供扩大范围和技术的机会。